| NPI | 1861035412 |
|---|---|
| Doing Business As | KIDS CHOICE DENTAL |
| Entity Type | Organization |
| Authorized Contact | OWEN NIEBERG COO 917-224-8171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2019-10-25 |